healthcosts.net
ER Visit (level 4) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$357.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$595.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$56.38 with AmeriHealth Caritas vs $909.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC) | $56.38 | ↓ -84% |
| AmeriHealth Caritas | Medicaid | $56.38 | ↓ -84% |
| Aetna | CHIP/Medicaid | $100.10 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $104.50 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $105.56 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $105.56 | ↓ -70% |
| Humana | Medicare | $106.62 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $109.33 | ↓ -69% |
| Cigna | Medicare | $110.84 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $114.00 | ↓ -68% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $114.00 | ↓ -68% |
| Aetna | Medicare | $114.98 | ↓ -68% |
| Geisinger | Medicaid | $132.50 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $143.76 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $150.80 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162.46 | ↓ -54% |
| United Healthcare | Medicare | $166.60 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $168.00 | ↓ -53% |
| UPMC Health Plan | Commercial | $263.90 | ↓ -26% |
| Geisinger | Commercial | $282.75 | ↓ -21% |
| Galaxy Health Plan | Commercial | $301.60 | ↓ -16% |
| Humana | Commercial | $301.60 | ↓ -16% |
| Multiplan | Worker's Compensation | $301.60 | ↓ -16% |
| Multiplan | PPO/Auto | $301.60 | ↓ -16% |
| InterGroup | PPO | $301.60 | ↓ -16% |
| BCBS of Western NY | CC/CHP/FHP/CHIP | $432.27 | ↑ +21% |
| UPMC Health Plan | CHIP | $448.50 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $499.60 | ↑ +40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $499.60 | ↑ +40% |
| BCBS of Western NY | Medicare Advantage | $593.73 | ↑ +66% |
| BCBS of Western NY | Commercial/Medicaid | $593.73 | ↑ +66% |
| Highmark BCBS of PA | Commercial - Indemnity | $608.34 | ↑ +70% |
| Highmark BCBS of PA | Managed Care | $608.34 | ↑ +70% |
| Aetna | Commercial | $909.00 | ↑ +155% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,146.00 | $104.86 – $1,623.50 |
| UPMC East | Monroeville | $1,120.20 | $104.86 – $1,493.60 |
| UPMC Hamot | Erie | $1,581.00 | $104.86 – $1,844.50 |
| UPMC Altoona | Altoona | $1,012.20 | $123.00 – $1,349.60 |
| UPMC Carlisle | Carlisle | $1,320.00 | $65.00 – $1,870.00 |
| UPMC Bedford | Everett | $645.60 | $100.10 – $968.40 |
| UPMC Community Osteopathic | Harrisburg | $1,320.00 | $65.00 – $448.50 |
| UPMC Hanover | Hanover | $1,320.00 | $104.86 – $1,914.00 |